Study on the Effects of a Probiotic on Autonomic and Psychological Stress

NCT ID: NCT02417454

Last Updated: 2017-10-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this study is to investigate the effects of a probiotic blend on qualitative (subjective interviews and self-reporting) and quantitative (changes in brain activity, heart rate, cortisol, and reactivity) measures of stress in healthy undergraduate students.

Detailed Description

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There is a burgeoning literature involving nonhuman animal and human studies linking the microbiota environment in the gut to brain-behaviour relations. For example, animal studies demonstrate that germ-free rodents show heightened HPA-axis responses to stress compared to gnotobiotic animals. There are also a number of nonhuman and human studies that show positive effects of reducing stress after being treated with different probiotics. For example, in one recent double blind study in humans using standardized questionnaires indicated a greater reduction of stress and anxiety symptoms after one month of supplementation with a probiotic formulation compared to placebo. The groups were also differentiated by urinary cortisol levels after treatment. Other studies have found positive effects of probiotic treatment and stress reduction using other probiotics. Accordingly, there is accumulating empirical evidence from animal and human studies of the positive effects of probiotic treatment on stress reduction.

In this study, the investigators will investigate the stress reduction effects of the Lallemand Health Solutions (LHS) Probio'StickĀ® on healthy undergraduate students. The study will be conducted at the McMaster LIVELab, which is capable of collecting both physiological and behavioural measures from groups of up to 100 participants at a time.

Registration into this clinical trial will require students be screened via McMaster's SONA system (mcmaster.sona-systems.com). After the screening, participants that are eligible to participate will be given the option to register for an information meeting at which point one may opt to enrol in the study or not.

Once in the study, participants will undergo an initial screening in the LIVELab where they will be exposed to auditory, visual, and performance based stressors to measure a baseline. After such point, they will be randomized to receive Probio'StickĀ® or placebo for a 6-week, once daily, probiotic treatment at home. Following the 6 week intervention, participants will return to the lab for a second testing using the same procedures to establish a change from baseline.

Conditions

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Stress, Psychological

Keywords

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probiotic stress emotion psychophysiology brain-body-gut interactions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Probiotic

Participants will undergo the same study procedures as for the comparator; however, the product given will be the active probiotic supplement (ProbioStick).

Group Type EXPERIMENTAL

ProbioStick

Intervention Type DIETARY_SUPPLEMENT

One sachet daily, without or without meals (3 x 10\^9 CFU per sachet)

(Lactobacillus helveticus R0052 and Bifidobacterium longum subsp. longum R0175)

Placebo

Participants will undergo the same study procedures as for the probiotic; however, the product given will be a placebo, identical to the probiotic in taste, smell, colour, and comprised only of the same non-active ingredients in the probiotic supplement

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

One sachet daily, without or without meals (0 CFU per sachet)

Interventions

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ProbioStick

One sachet daily, without or without meals (3 x 10\^9 CFU per sachet)

(Lactobacillus helveticus R0052 and Bifidobacterium longum subsp. longum R0175)

Intervention Type DIETARY_SUPPLEMENT

Placebo

One sachet daily, without or without meals (0 CFU per sachet)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Answering "Yes" to questions 3, 8 and 9 of the Cohen's Perceived Stress Scale.
* Willingness to complete questionnaires, records, and diaries associated with the study and to complete all site visits.
* Willingness to discontinue consumption of fermented foods or probiotics (e.g. yogurts, with live, active cultures, or supplements).
* Ability to provide informed consent.

Exclusion Criteria

* Must not be currently taking another probiotic regiment or another investigational product within 3 months of the screening visit.
* Must not currently be taking medications for depression or anxiety, including benzodiazepines, SSRIs, or antipsychotics or receiving counselling for depression or anxiety.
* Must not be immune-compromised or immuno-suppressed (e.g. AIDS, lymphoma, participants undergoing long-term corticosteroid treatment, chemotherapy and allograft participants).
* Must not have experienced bloody diarrhea in the past month prior to beginning the study.
* Must not have undergone any surgery within the three months prior to beginning the study, particularly surgeries involving the colon.
* Must not have any soy or milk allergy.
* Must not be pregnant or breast-feeding or planning on becoming pregnant.
* Must not have used of any antibiotic drug (e.g., neomycin, rifaximin) within 1 month of screening.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lallemand Health Solutions

INDUSTRY

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Laurel Trainor, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Locations

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McMaster LIVELab

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

References

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Lutgendorff F, Akkermans LM, Soderholm JD. The role of microbiota and probiotics in stress-induced gastro-intestinal damage. Curr Mol Med. 2008 Jun;8(4):282-98. doi: 10.2174/156652408784533779.

Reference Type BACKGROUND
PMID: 18537636 (View on PubMed)

Ait-Belgnaoui A, Colom A, Braniste V, Ramalho L, Marrot A, Cartier C, Houdeau E, Theodorou V, Tompkins T. Probiotic gut effect prevents the chronic psychological stress-induced brain activity abnormality in mice. Neurogastroenterol Motil. 2014 Apr;26(4):510-20. doi: 10.1111/nmo.12295. Epub 2013 Dec 30.

Reference Type BACKGROUND
PMID: 24372793 (View on PubMed)

Ait-Belgnaoui A, Durand H, Cartier C, Chaumaz G, Eutamene H, Ferrier L, Houdeau E, Fioramonti J, Bueno L, Theodorou V. Prevention of gut leakiness by a probiotic treatment leads to attenuated HPA response to an acute psychological stress in rats. Psychoneuroendocrinology. 2012 Nov;37(11):1885-95. doi: 10.1016/j.psyneuen.2012.03.024. Epub 2012 Apr 26.

Reference Type BACKGROUND
PMID: 22541937 (View on PubMed)

Palomar MM, Maldonado Galdeano C, Perdigon G. Influence of a probiotic lactobacillus strain on the intestinal ecosystem in a stress model mouse. Brain Behav Immun. 2014 Jan;35:77-85. doi: 10.1016/j.bbi.2013.08.015. Epub 2013 Sep 7.

Reference Type BACKGROUND
PMID: 24016865 (View on PubMed)

Kullisaar T, Songisepp E, Mikelsaar M, Zilmer K, Vihalemm T, Zilmer M. Antioxidative probiotic fermented goats' milk decreases oxidative stress-mediated atherogenicity in human subjects. Br J Nutr. 2003 Aug;90(2):449-56. doi: 10.1079/bjn2003896.

Reference Type BACKGROUND
PMID: 12908907 (View on PubMed)

Messaoudi M, Violle N, Bisson JF, Desor D, Javelot H, Rougeot C. Beneficial psychological effects of a probiotic formulation (Lactobacillus helveticus R0052 and Bifidobacterium longum R0175) in healthy human volunteers. Gut Microbes. 2011 Jul-Aug;2(4):256-61. doi: 10.4161/gmic.2.4.16108. Epub 2011 Jul 1. No abstract available.

Reference Type BACKGROUND
PMID: 21983070 (View on PubMed)

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.

Reference Type BACKGROUND
PMID: 6668417 (View on PubMed)

Lang PJ, Bradley MM, Cuthbert BN. International affective picture system (IAPS): Affective ratings of pictures and instruction manual.. Technical Report A-8. University of Florida, Gainesville, FL.; 1995.

Reference Type BACKGROUND

Gasser F. Safety of lactic acid bacteria and their occurrence in human clinical infections. Bull Inst Past. 1994;92:45-67.

Reference Type BACKGROUND

Salminen S, von Wright A, Morelli L, Marteau P, Brassart D, de Vos WM, Fonden R, Saxelin M, Collins K, Mogensen G, Birkeland SE, Mattila-Sandholm T. Demonstration of safety of probiotics -- a review. Int J Food Microbiol. 1998 Oct 20;44(1-2):93-106. doi: 10.1016/s0168-1605(98)00128-7.

Reference Type BACKGROUND
PMID: 9849787 (View on PubMed)

European Food Safety Authority (EFSA). Technical guidance - Update of the criteria used in the assessment of bacterial resistance to antibiotics of human or veterinary importance. EFSA J. 2008 Jul 14;6(7):732. doi: 10.2903/j.efsa.2008.732. eCollection 2008 Jul. No abstract available.

Reference Type BACKGROUND
PMID: 37213835 (View on PubMed)

Garneau P, Labrecque O, Maynard C, Messier S, Masson L, Archambault M, Harel J. Use of a bacterial antimicrobial resistance gene microarray for the identification of resistant Staphylococcus aureus. Zoonoses Public Health. 2010 Nov;57 Suppl 1:94-9. doi: 10.1111/j.1863-2378.2010.01358.x.

Reference Type BACKGROUND
PMID: 21083822 (View on PubMed)

Related Links

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http://mcmaster.sona-systems.com

McMaster SONA Recruitment

Other Identifiers

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20000229

Identifier Type: -

Identifier Source: org_study_id